Which document must an employer include when submitting an appeal for SHOP eligibility determination?

When submitting an appeal for SHOP (Small Business Health Options Program) eligibility determination, the inclusion of the original eligibility determination letter is crucial. This document serves as the foundation of the appeal process because it outlines the specific reasons and findings that led to the initial eligibility decision. By providing the original letter, the employer can ensure that the reviewing authority understands the context of the original determination, which is essential for a fair evaluation of the appeal.

Having the original eligibility determination letter gives the employer the opportunity to directly address any reasons for denial or to clarify misunderstandings that may have occurred. It streamlines the appeal process by allowing the relevant officials to reference the original decision directly, making it easier to pinpoint areas of discrepancy or error that the employer believes warrant a different outcome. Thus, the original eligibility determination letter is not just a formality in the appeal process; it is a critical document that supports the employer's case for reconsideration.